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n <br />AP�LTCATION FOR <br />' I,JNSTRUCTiON <br />everett <br />e <br />everett PERMIT <br />DEPT. OF COMn1UNITY D[VEIOPMENT SER'JIC[5 <br />CITY HALL 259-8745 <br />Evetteri.wnve2at �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PWMBING PERMIT NO. <br />O1VNfR MAIIAllOHI55 (111 JII' PIIOKI <br />P�LAt1L,tqQ15TEN5F�J d NlFl.SEN -311� QoGILFFFLf.rc2 AVE EVE�ZIFiii �[STA I <br />eRnurrci ou r.�sicn�e Al�ll AppRl55 an� zir ri�or+� <br />DYKEMCN go4.DfcrJ 3211 wlETM02F EV�rL�7T �i$'�1 Q59-3�6� <br />C[NlNN.CONTR�CIOH MAII AU[)RfSS (�1� lIP PIIONL IICFNSE � <br />TO Fi E y£!. E� TED �� /,�u�d�ta 75/¢¢��?.c�iL�? C(A•vnr� o�o� ,$S3- 233/ _ <br />n11C11ANICAICONIRAQON � AIAllA01)NlES 111 l.IP PNONE LICENS[/ <br />l� ll <br />riun�nwccoNiaeaoa n�nunr.oetss utr zu� ruov� uc[NSu <br />ll Lt ,_ <br />tLASS O/ R'ORN ` <br />❑NEW �ADDITION �ALTERATION ❑REPAIH ❑DE,�10LIilON ❑FENCE ❑SIG� ❑GARAGE ❑�UILDING R[LOCATI(�N <br />WlU�iIO�JN OF \VONK <br />f � {��OQQ � _ <br />Uf5CXI8E WORN <br />ENc�o 5E PoRG� t� �NcREAs� oFFIGE A(? 6A� <br />reorostuusc oi ounnu+c I HERE6Y CERTIFY THAT I HAVE READ AND EXAh11NED THIS AP- <br />LEWI o6cRlrlioN oF �raLor�tNrr �sMOwN nl low oN �i1n01 fouR cor9t51 <br />�oi �.��mocK1� � or dLA t 0 F fGV �IG I <br />f A��T /.nAO/51.IY �117T /�pJ <br />IOBADDRL55 <br />3 / / 3 12o c,c/,' %�.�. <br />PLUMSING <br />NO. TYPE OF FI%TURE <br />UVATORV �WASM tiAS�N) <br />SHOWEft <br />KIICHEN SINK 6 DISP. <br />DISWASNER <br />IAUNDRY7RAY <br />CLOTMES WASMER <br />WATfR MFATER <br />URINAL <br />DRINKINGfOUNTAIN <br />FLOOR DRAIN <br />VACUUM BRFAKEitS <br />ROOF DR�INS—RAINLEA <br />sue ro <br />/ERMIT <br />SIDEYARDSEIBACK STR[ETSCIHncK <br />� � t �N Co <br />USE ZON[ lOT AREA <br />R_S (�ffoo s�f <br />TYNf OF CONST OCCUPANCY GROUP <br />� g.2 <br />SIZE Of BL�G. �O. OF STORIES <br />6G� PLA N I <br />FBE ZONE_ Pr1SEMENT IIIDROO��7� <br />!! d G <br />APPROVALS <br />L [NVIRONMkNUL CHFCK L151 <br />7. BUILDING PUNS <br />J (IRf HYDRANi <br />1 FlRL PROTFCTION 51'SiU1 <br />5 GNnf)ING!f%U\'nTIONRf.IIANWGIGRUI/141NC <br />6. URAIN�G1, <br />L CNVIRONM[NULIMPACTSTMLM[NT <br />B. MFAUH DISiRICT <br />APPUUTION ACC OY PLANS CHIIX(U 11Y <br />V��. <br />FFE <br />s� <br />HUR YAND SIT� <br />VAUNT SITI <br />❑rrs Kno <br />NO OF DWf ll IN� <br />--'�' <br />MAC. OCl'. lOnl) <br />�- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL 6E COMPLIED WITH WHETHER SPECIFI[D HEREIN <br />OR NOT. THE GRANTING OF A P[RMIT DOES NOT PRESUME TO <br />GIVE �UTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR TNF PERFORMANCE OF CONSTRUCTION. <br />SIGNATURI OF CONTRACTOR OR AUTHORRE� AGFNi UATE ��4—�O <br />v�/;�E��AN �O�nfct� �AR.�c1i'[LczS <br />r. . • _ (� <br />MECMANICAI � <br />NO. TYPE OF EQUIPMENT <br />AIH COND 11NIT5—H P EA <br />RfIRIGFNAtION UYITS-11 P. EA <br />IIOLLFRS—HP. U <br />G45 FBED A C UNITS—TONNAG[ U <br />IOHC[� AIR SYSiCMS—II.TL M EA <br />\\'AILHFATfHS—II.TL ht <br />UNIT IIIATLRS—�.T U. M <br />R'APORA7IVF COOLI RS <br />CIOTHFS URY[RS <br />VI NTILA710N fAN <br />RANGf IIOUD <br />AIR HANpLINC 11NIT— C f M <br />TAL fBFI'lAC[ 8 CHIh1NE1' <br />'UN CHCCA NUMI1lH <br />7 �/ y <br />FEES <br />iauuoinc <br />PWMl11NG <br />FQUBED ,NLIIIANIUI <br />�ves o <br />BY DATF OTHLR <br />AI'I'R ION ISSUANCI OY <br />P(NALII <br />FEE <br />f <br />PERMIT S <br />TOTAL FEE s <br />PUN CNECK FEE <br />r��3 � aE[[irrNo � <br />� y <br />VAlt1AT10N FFE <br />s <br />G EI C. <br />5[C.IOJ�a� <br />TO!AL I I `��I <br />PERMIT VAIIDATION <br />N'H( N PROPIRLY \'AUDATED (IN 7NI5 SPACE� THIS IS YOUN PCRMIT <br />� <br />� , . _'�1 ('�:rL' � :. � <br />�l:l <br />